Displaying 151791-151800 of 1611142 results.
ID:
151791
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
151792
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
151793
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
151794
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
ID:
151795
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
372
Qty Limit Days:
31
ID:
151796
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
365
ID:
151797
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
155
Qty Limit Days:
31
ID:
151798
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
151799
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
151800
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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